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1376286898
ELISHA SEWELL
TUCKER, GA
NPI
1376286898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-22-211880)
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
ELISHA SEWELL
5072 LAVISTA RD
TUCKER, GA 30084-3500
Phone number: 706-842-5330
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Mailing Address
ELISHA SEWELL
3736 EXECUTIVE CENTER DR
AUGUSTA, GA 30907-2360
Phone number: 706-842-5330
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